GERD/Heartburn

Overview of GERD/Heartburn

The esophagus carries food from the mouth to the stomach. The lower esophageal sphincter (LES) is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and the stomach. Gastroesophageal reflux disease, or GERD, occurs when the LES does not close properly, and stomach contents leak back, or reflux into the esophagus. This liquid can inflame the lining of the esophagus.

Signs & Symptoms

When refluxed stomach acid touches the lining of the esophagus (esophageal reflux), it causes discomfort in the chest or throat called "heartburn". Occasional heartburn is common but does not necessarily mean one has GERD. Heartburn that occurs more than twice a week may be considered GERD, and it can eventually lead to more serious health problems. This condition can also cause chronic cough which may be the only manifestation.

Prevention

Lifestyle Changes:

Chew gum which stimulates production of bicarbonate containing saliva which neutralizes acid in the esophagus

Avoid lying down for at least three hours after a meal

Raise the head of your bed 6-8 inches by putting blocks of wood under the bedposts or use a wedge pillow - just using extra pillows will not help

Avoidance of Certain Foods:

Citrus fruits

Chocolate

Caffeinated beverages

Fried foods

Fatty foods

Garlic and onions

Mint flavorings

Spicy foods

Tomato-based foods

Treatment

Your doctor may recommend over-the-counter medications such as antacids, which you can buy without a prescription (Tums, Maalox, or Mylanta), or stronger medications (ranitidine, nizatidine, cimetidine) that decrease acid production. Often these will suffice, but if symptoms persist, a consult with your health-care provider is advised to ensure nothing more serious is ongoing (ulcer, stricture, Barrett's esophagus).

How We Can Help

Also, our Advice Nurse service is available at no charge for all UC Davis students to discuss health concerns and the need for medical care.

Dedicated to a Healthy Student Body

The mission of Student Health and Counseling Services is to enhance the physical and mental health of students in order to help them achieve academic success, personal development and lifelong wellness by providing an integrated program of quality, accessible, cost sensitive and confidential healthcare services, tailored to their unique and diverse needs and to assist the University community, through consultation and education, to develop a healthy campus environment consistent with UC Davis "Principles of Community".